| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,672 |
26,438 |
$701K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,364 |
9,762 |
$502K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,128 |
859 |
$68K |
| 80053 |
Comprehensive metabolic panel |
2,984 |
2,393 |
$62K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,586 |
3,252 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
791 |
763 |
$21K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
78 |
66 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,777 |
2,337 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,289 |
5,955 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
610 |
557 |
$7K |
| 84484 |
|
356 |
254 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
417 |
384 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
487 |
468 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
171 |
164 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,139 |
873 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
487 |
468 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
180 |
173 |
$3K |
| 76830 |
Ultrasound, transvaginal |
170 |
163 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,466 |
1,102 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
207 |
198 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
45 |
42 |
$2K |
| 76801 |
|
70 |
70 |
$1K |
| 83735 |
|
15 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
51 |
$1K |
| 73610 |
|
404 |
358 |
$1K |
| 73630 |
|
371 |
339 |
$919.48 |
| 72100 |
|
222 |
215 |
$871.75 |
| 73130 |
|
286 |
233 |
$714.57 |
| 73110 |
|
257 |
204 |
$634.65 |
| 73564 |
|
173 |
156 |
$617.64 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
54 |
49 |
$614.02 |
| 73030 |
|
217 |
173 |
$556.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,454 |
939 |
$448.02 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$424.16 |
| 81000 |
|
266 |
194 |
$356.69 |
| 74022 |
|
58 |
54 |
$250.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,155 |
3,176 |
$158.16 |
| 74018 |
|
29 |
24 |
$93.81 |
| 73140 |
|
26 |
24 |
$40.89 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
53 |
48 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
70 |
28 |
$0.00 |
| 86141 |
|
18 |
15 |
$0.00 |